Provider Demographics
NPI:1164675443
Name:BORTONE, JOANNE MARY (EDD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:MARY
Last Name:BORTONE
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Gender:F
Credentials:EDD, OTR/L
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:25 BARKER STREET
Mailing Address - Street 2:UNIT 508
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549
Mailing Address - Country:US
Mailing Address - Phone:914-666-3634
Mailing Address - Fax:914-347-5236
Practice Address - Street 1:1 SKYLINE DRIVE SUITE 298
Practice Address - Street 2:KIDABILITIES
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532
Practice Address - Country:US
Practice Address - Phone:914-347-5990
Practice Address - Fax:914-347-5236
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY001223225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics